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MARISSA VAUGHAN PA
NPI 1902755911
Physician Assistant in Wilmington, NC

Active since January 23, 2026PECOS EnrolledAccepts Medicare Assignment
2131 S 17TH ST, WILMINGTON, NC 28401(910) 667-7000 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Marissa Vaughan Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA VAUGHAN PA (NPI 1902755911) is an individual physician assistant in Wilmington, North Carolina, licensed in North Carolina (0010-16170) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1902755911
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARISSA VAUGHANCredential: PA
Location Address2131 S 17TH STWilmington, NC 28401-7407
Mailing Address330 Cathay RdWilmington, NC 28412-2914
Phone(910) 667-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 23, 2026
NPPES CertifiedJanuary 23, 2026
✔ NPI 1902755911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-16170
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2131 S 17TH ST, Wilmington, NC 28401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marissa Vaughan Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436621315
PECOS Enrollment IDI20260611001089
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEW HANOVER REGIONAL MEDICAL CENTER
Rehabilitation Hospital
2131 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 343-7000
CAROLYN JONES
Nurse Practitioner (Neonatal, Critical Care)
2131 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 667-2970
CHRISTIAN SANCHEZ M.D.
Hospitalist
2131 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 667-7000
KATHRYN GENCIE NEWELL DO
Family Medicine
2131 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 343-7000
NICOLE BRITT RN
Registered Nurse (Critical Care Medicine)
2131 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 343-7000
LI NICHOLS MD
Hospitalist
2131 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 667-7000
JAMES ADGENT MD
Hospitalist
2131 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 667-7000
NANNETTE B MARTIN NP
Nurse Practitioner
2131 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 772-9202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Vaughan's NPI number?

The NPI number for Marissa Vaughan is 1902755911. It was assigned to this individual provider in the NPPES registry on January 23, 2026.

Where is Marissa Vaughan located?

Marissa Vaughan practices at 2131 S 17th St, Wilmington, NC 28401. The listed phone number is (910) 667-7000.

What is Marissa Vaughan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Marissa Vaughan enrolled in Medicare?

Yes. Marissa Vaughan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Marissa Vaughan was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.